Tulica Mittal, Gurpreet Kaur and Navneet Kaur
Introduction: There are various pharmacologic agents widely used in dentistry with different purpose and in different form. (e.g., mouthwashes, gels and varnishes). Literature has stored scientific evidence that these agents are used as an adjuvant for various dental treatments applied in dentists to improve therapeutic response. Both chlorhexidine and hyaluronic acid has its own unique properties and has been advocated as monotherapy or as an adjunct to non-surgical and surgical periodontal treatment.
Aim and Objective: To compare and evaluate the effectiveness in terms of pain perception and soft tissue healing in patients treated with Hyaluronic acid and Chlorobutanol along with 0.20% Chlorhexidine (Curasept) as a subgingival irrigation following periodontal flap surgery.
Materials And Methods: A total of 5 patients within the age group of 20-50 years diagnosed with stage II/III with grade B or C periodontitis with probing pocket depth ≥ 5mm were randomly selected and divided into 2 groups: Group 1- 5 Patients assigned with surgical periodontal therapy along with subgingival irrigation with Curasept (0.20% chlorhexidine and chlorobutanol) as soothing treatment on the day of surgery and Curasept (0.20% chlorhexidine and hyaluronic acid) as regenerative treatment on 3rd day of surgery Group 2- 5 Patients were assigned with surgical periodontal therapy alone. All the patients were evaluated for clinical parameters such as Plaque Index, Bleeding on Probing and Probing Pocket Depth at baseline and after 3 months. Numeric rating Scale for pain perception was also analysed at 3 days and after 7days.
Results: Both the groups revealed a statistically significant difference with meaningful reduction from baseline to 3 months when comparing intragroup clinical measures (PI, GI, and BOP). On Intergroup comparison of all the clinical parameters there was a statistically non-significant difference in between group 1 and group 2.
Conclusion: The result obtained from the study showed that subgingival irrigation with chlorobutanol and hyaluronic acid with 0.20% chlorhexidine positively influence the soft tissue healing and post operative pain after periodontal surgery. Curaspet can be used as an adjunctive treatment for improvement in wound healing process and reduction in post-operative pain. P